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目的:探讨弹性钉内固定治疗儿童锁骨干移位骨折的疗效。方法:对21例儿童锁骨干移位骨折病例,采用闭合或小切口辅助复位弹性钉内固定,观察患儿影像学骨折复位情况、骨折愈合率、肩关节功能恢复情况以及相关并发症。结果:所有患者均获得随访8~15个月,平均随访时间11个月。所有患者均于术后6周到5个月内发生骨性愈合,骨折复位优良率90.4%。所有患者均未出现神经损伤及气胸等手术并发症,未出现骨折延迟愈合或骨不连、弹性钉滑出和断钉等并发症。术后4个月患肩Constant评分83.8±4.7,相比术前43.7±6.2具有显著性统计学差异。结论:弹性钉内固定治疗儿童锁骨中段完全移位骨折是一种安全,有效的方法。
Objective: To investigate the efficacy of elastic nail fixation in the treatment of children’s clavicular fracture. Methods: Twenty - one children with clavicular fracture were treated with closed or small incision assisted reduction nail fixation. The reduction of imaging fracture, the rate of fracture healing, the recovery of shoulder joint function and related complications were observed. Results: All patients were followed up for 8 to 15 months with an average follow-up of 11 months. All patients underwent bony union within 6 weeks to 5 months after operation. The rate of fracture reduction was 90.4%. All patients did not appear neurological injury and pneumothorax and other surgical complications, there is no delay fracture healing or nonunion, elastic nail sliding and broken nails and other complications. The shoulder constant score was 83.8 ± 4.7 at 4 months after operation, which was significantly different from 43.7 ± 6.2 preoperatively. CONCLUSION: Elastic nailing is a safe and effective method for the treatment of complete displaced fractures in the middle of the clavicle in children.